Individual provider Active NPI

Constantine Peter Copses, M.D.

  • Pediatrics Physician
  • North Charleston, SC
National Provider Identifier
1750478772
Registry record updated Aug 1, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
LL27056 Issued in SC
Practice address
2713 Dantzler Dr
North Charleston, SC 29406-9005
Phone
(843) 764-1722
Fax
(843) 764-1788
NPI assigned
Oct 10, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X LL27056 SC Primary

Addresses

Primary practice location

2713 Dantzler Dr
North Charleston, SC 29406-9005

Mailing address

2713 Dantzler Dr
North Charleston, SC 29406-9005
Phone (843) 764-1722

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
LL27056SCMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sweetgrass Pediatrics Pediatrics Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1375315200000",
    "number": "1750478772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2713 DANTZLER DR",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "294069005",
            "telephone_number": "843-764-1722",
            "fax_number": "843-764-1788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2713 DANTZLER DR",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "294069005",
            "telephone_number": "843-764-1722",
            "fax_number": "843-764-1788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COPSES",
        "first_name": "CONSTANTINE",
        "middle_name": "PETER",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-10",
        "last_updated": "2013-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "SC",
            "license": "LL27056",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Charleston, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.